02D2241214 CLIA NUMBER - REVIVE ALASKA COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 02D2241214
  • Facility Name: REVIVE ALASKA COMMUNITY SERVICES
  • Facility Address: 5021 OMALLEY RD
    ANCHORAGE, AK
    ZIP 99507
  • Facility Phone: 907 717-9080
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JENNIFER D. SCHMID
  • NPI Number: 1306560644
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 02D2241214
LAB Type Mobile Laboratory
Facility Name REVIVE ALASKA COMMUNITY SERVICES
Street 5021 OMALLEY RD
City ANCHORAGE
State AK
ZIP 99507
Phone 907 717-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Mobile Laboratory
Lab Director JENNIFER D. SCHMID

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This page was last updated on: 9/29/2025